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To Evaluate the Safety and Tolerability of SYHX2001 in Patients With Advanced or Metastatic Solid Tumors

This is a Phase 1, open-label, multicenter, dose escalation and expansion study to evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of the experimental drug(SYHX2001) in previously treated patients with advanced or metastatic cancer.

Studieöversikt

Status

Rekrytering

Intervention / Behandling

Detaljerad beskrivning

This is a multicenter, open-label, dose-escalation, dose-expansion Phase 1 study of SYHX2001(name of the experimental drug) in patients with advanced or metastatic cancers who have exhausted standard treatment. The study will consist of 2 parts, a dose escalation part and a cohort expansion part. Once the recommended phase 2 dose (RP2D) has been determined in the dose escalation part, a cohort expansion part involving up to three separate cohorts will be conducted. For patients, the study will include a screening phase, a treatment phase, and a post treatment follow-up phase. An end-of-study visit will be conducted within 30 days after the last dose of SYHX2001.

Studietyp

Interventionell

Inskrivning (Förväntat)

176

Fas

  • Fas 1

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studieorter

    • Heilongjiang
      • Harbin, Heilongjiang, Kina
        • Rekrytering
        • Harbin Medical University Cancer Hospital
        • Kontakt:

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år till 75 år (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Inclusion Criteria:

  1. Male or female patients with an age of 18~75years (inclusive).
  2. Confirmed histologic or cytologic diagnosis of an advanced and/or metastatic solid tumor.
  3. At least one measurable lesion as defined by RECIST version 1.1.
  4. Eastern Cooperative Oncology Group Performance Status 0 or 1.
  5. Life expectancy ≥3 months.
  6. Major organ function within 14 days prior to treatment meets the following criteria (no blood transfusion, Erythropoietin(EPO), Granulocyte Colony Stimulating Factor(G-CSF) or other medical support): Absolute Neutrophil Count(ANC)≥1.5×10^9/L,Platelet(PLT)≥90×10^9/L,Hemoglobin(Hb)≥100g/L or≥6.2 mmol/L;Creatinine(Cr)≤1.5×upper limit of normal(ULN) and creatinine clearance rate≥50mL/min;Total Bilirubin(TBIL)≤1.5×ULN; Prothrombin time(PT)≤1.5×ULN , Activated Partial Thromboplastin Time(APTT)≤1.5×ULN , Aspartate Aminotransferase(AST)/Alanine Aminotransferase(ALT)≤2.5 × ULN.
  7. Signed informed consent form.

Exclusion Criteria:

  1. Chemotherapy, radiotherapy, biotherapy, endocrine therapy, targeted therapy, immunotherapy and other anti-tumor treatment within 4 weeks prior to the first dose of the study drug, or administration of other investigational agents within 4 weeks or 5 half-lives prior to the first dose of the study drug, whichever is longer.
  2. Major surgery or significant trauma within 4 weeks prior to the first dose of the study drug.
  3. Adverse reactions from the previous anti-tumor treatment have not yet recovered to ≤ level 1 based on CTCAE 5.0。
  4. Have a history of severe cardiovascular and cerebrovascular disease.
  5. Central nervous system metastasis or meningeal metastasis with clinical symptoms, or other evidence shows that the patient's central nervous system metastasis or meningeal metastasis has not been controlled and not suitable for the study according to the judgment of the investigator.
  6. Known history of hypersensitivity to test drug components.
  7. Patients with recent active bleeding or a history of bleeding.
  8. Those with coagulation disorders or taking thrombolytic, anticoagulant or antiplatelet agglutination drugs.
  9. Gastrointestinal perforation, abdominal fistula, or intra-abdominal abscess within 6 months prior to first dose; or currently under investigator's judgement there are high risk factors for hollow organ perforation/fistula formation).
  10. Inability to swallow the drug orally, or a condition that seriously affects gastrointestinal absorption in the judgment of the investigator.
  11. Irritable bowel syndrome with signs/symptoms requiring medication.
  12. Persistent active diarrhea requiring medical treatment.
  13. Concomitant use of strong CYP3A4 inhibitors or inducers, strong CYP2D6 inhibitors and strong P-gp inhibitors within 14 days prior to the first dose of the study drug.
  14. History of autoimmune diseases, immunodeficiency, including HIV positive, or other acquired, congenital immunodeficiency, or organ transplant history.
  15. Known Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), or other active viral infection.
  16. Male and female patients of childbearing potential do not agree to use suitable method of contraception during the treatment and 6 months after the last dose of study medication; female patients do not have negative results of serum/urine pregnancy test within 7 days prior to enrollment and would be breastfeeding.
  17. Not suitable for this study as determined by the investigator due to other reasons.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: N/A
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: SYHX2001
SYHX2001 will be administered orally.
SYHX2001 tablets, oral

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
Dose limiting toxicities (DLT) in stage Ⅰ
Tidsram: Baseline through Day 28
Baseline through Day 28
Maximum tolerated dose (MTD) in stage Ⅰ
Tidsram: Baseline through Day 28
Baseline through Day 28
Recommended phase 2 dose (RP2D)
Tidsram: Baseline through approximately 2 years
Baseline through approximately 2 years
Incidence and severity of adverse events in stage Ⅰ
Tidsram: Baseline through approximately 2 years
Baseline through approximately 2 years
Overall response rate (ORR) in stage Ⅱ
Tidsram: Up to approximately 2 years
Up to approximately 2 years

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Maximum observed plasma concentration (Cmax) of SYHX2001
Tidsram: Baseline and up to approximately 2 years
Baseline and up to approximately 2 years
Area under the plasma concentration-time curve (AUC) extrapolated from time zero to infinity (AUC[0-inf]) of SYHX2001
Tidsram: up to approximately 2 years
up to approximately 2 years
AUC from time zero to the last quantifiable concentration after dosing (AUC[0-t]) of SYHX2001
Tidsram: up to approximately 2 years
up to approximately 2 years
Terminal phase half-life (t1/2) of SYHX2001
Tidsram: up to approximately 2 years
up to approximately 2 years
Oral clearance (CL/F) of SYHX2001
Tidsram: up to approximately 2 years
up to approximately 2 years
PFS Progression-free survival (PFS)
Tidsram: up to approximately 2 years
PFS is defined as the time from first dose until radiographic progression per standard criteria or death due to any cause, whichever is earlier.
up to approximately 2 years
Duration of Response (DOR)
Tidsram: up to approximately 2 years
DOR is defined as the time from first evidence of response (complete response or partial response per RECIST 1.1) to earlier date of disease progression or death due to any cause.
up to approximately 2 years
Number of patients with any adverse events(AEs) and serious adverse events(SAEs) in stage Ⅱ
Tidsram: up to approximately 2 years
up to approximately 2 years
Change from Baseline in symmetrical arginine dimethylation (SDMA) as a pharmacodynamics(PD) measure
Tidsram: Baseline and up to approximately 2 years
Baseline and up to approximately 2 years

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

27 juli 2022

Primärt slutförande (Förväntat)

6 januari 2026

Avslutad studie (Förväntat)

6 januari 2026

Studieregistreringsdatum

Först inskickad

30 maj 2022

Först inskickad som uppfyllde QC-kriterierna

3 juni 2022

Första postat (Faktisk)

7 juni 2022

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

9 augusti 2022

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 augusti 2022

Senast verifierad

1 augusti 2022

Mer information

Termer relaterade till denna studie

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • SYHX2001C101

Plan för individuella deltagardata (IPD)

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Obeslutsam

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

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Nej

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